Kirkland, Theo Neal
Kirkland, Theo Neal is an individual health care provider with primary practice located at 5709 Waverly Ave , La Jolla CA 92037-7336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Kirkland, Theo Neal can be contacted via phone (858) 752-7989.Contact Information
Primary practice address
5709 Waverly Ave
La Jolla CA 92037-7336
Phone: (858) 752-7989
Fax: (858) 459-7471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G39331 | California |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G39331 | California |
Profile Details
NPI number | 1528079795 |
---|---|
LBN Legal business name | Kirkland, Theo Neal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Mar 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528079795 | NPPES |
California | MEDICAID | 00G393310 |
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